Individual
KOREY SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
215 COWBOY WAY, EDGEWOOD, NM 87015-9616
(505) 750-2707
Mailing address
13 SERRANIA DR, EDGEWOOD, NM 87015-9071
(505) 750-2707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2025-0942
NM
Other
Enumeration date
12/27/2025
Last updated
12/27/2025
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